IVAN RAMIREZ MD PA NPI 1053464008

NPI Information

NPI: 1053464008
Provider Name: IVAN RAMIREZ MD PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D1033210

Address:
9670 RANCH ROAD 12
WIMBERLEY, TX
ZIP 78676
Phone: (512) 847-6789
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IVAN RAMIREZ MD PA is a primary care clinic center in Wimberley, TX. IVAN RAMIREZ MD PA NPI is 1053464008. The provider is registered as an organization entity type.

The provider's business location address is:

9670 RANCH ROAD 12
WIMBERLEY, TX
ZIP 78676-238
Phone: (512) 847-6789
Fax: (512) 847-7968

The provider's authorized official is Juan Ivan Ramirez .
The authorized official title is President and has the following contact phone number (512) 847-6789.

The CLIA number assigned to this NPI record is 45D1033210 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2007 and was last updated on 3/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	J9290	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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